Impact of temporomandibular disorder symptoms among 15-year-old girls
DOI:
https://doi.org/10.2340/aos.v83.41113Keywords:
temporomandibular disorders, adolescents, impact, general health, physical activityAbstract
Objective: Many adolescents, especially girls, report temporomandibular disorder (TMD) symptoms that may impact their daily life.
Methods: At 19 different schools participating in the preventive program with dental nurses of FRAMM (Fluoride, Advise, Arena, Motivation, Food), at the Västra Götaland Region in Sweden, 15-year-old girls were invited to a cohort study about symptoms of TMD that also included headaches. Three hundred twenty-nine girls attended the study and answered a questionnaire regarding TMD symptoms and their consequences such as sick leave from school and consumption of analgesics. The girls were asked about the symptom’s influence on their daily life, about their general health, use of regular medication, physical activity, and they answered the PHQ4 regarding experienced symptoms of anxiety and depression.
Results: There was a significant correlation between TMD symptoms and sick leave with 31% of the girls having stayed home due to symptoms. Of the girls who answered affirmative in the screening questions (3QTMD), nearly half the group had stayed at home due to their symptoms, 24% had consulted a physician, 42% had used analgesics weekly and 59% reported that they felt the symptoms negatively affected their school performance. The girls who had regular medication had more TMD symptoms. Anxiety and depression were associated with TMD symptoms.
Conclusion: The study showed that TMD symptoms had a negative impact on the 15-year-old girls’ daily life resulting in sick leave from school, consumption of analgesics, and experiences of negative impacts on their behavior and performance at school.
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Lövgren A, Häggman-Henrikson B, Vischer CM, Lobbezoo F, Marklund S, Wänman A. Temporomandibular pain and jaw dysfunction at different ages covering the lifespan-a population-based study. Eur J Pain. 2016;20:532–540. https://doi.org/10.1002/ejp.755 DOI: https://doi.org/10.1002/ejp.755
Christidis N, Ndanshau EL, Sandberg A, Tsilingaridis. Prevalence and treatment strategies regarding temporomandibular disorders in children and adolescents – a systematic review. J Oral Rehabil. 2019;46:291–301. https://doi.org/10.1111/joor.12759 DOI: https://doi.org/10.1111/joor.12759
Mejersjö C. Bergström E-K, Wenneberg B, Wänman A. TemporoMandibular Disorder symptoms in 13–15 years old females; reported symptoms and clinical signs. Int J Dent Hygiene. (Ahead of print).
Okeson JP. Signs and symptoms of temporomandibular disorders. In: Okeson JP, editor. Management of temporomandibular disorders and occlusion. 7th ed. St. Louis, MO: Mosby, Elsevier Inc.; 2013, p. 129–169.
Emshoff R, Bertram F, Schnabl D, Emshoff I. Association between chronic tension-type headache coexistent with chronic temporomandibular disorder pain and limitations in physical and emotional functioning: a case-control study. J Oral Facial Pain Headache. 2017;31:55–60. https://doi.org/10.11607/ofph.1654 DOI: https://doi.org/10.11607/ofph.1654
Nilsson IM, List T, Drangsholt M. Headache and co-morbid pains associated with TMD pain in adolescents. J Dent Res. 2013;92:802–807. https://doi.org/10.1177/0022034513496255 DOI: https://doi.org/10.1177/0022034513496255
Wainwright E, Jordan A, Fisher E, Wilson C, Mullen D Madhavakkannan H. Beliefs about worry and pain amongst adolescents with and without chronic pain. J Pediatr Psychol. 2022;47:432–445. https://doi.org/10.1093/jpepsy/jsab109 DOI: https://doi.org/10.1093/jpepsy/jsab109
Nilsson IM, Drangsholt M, List T. Impact of temporomandibular disorder pain in adolescents: differences by age and gender. J Orofac Pain. 2009;23:115–122.
Marklund S, Wänman A. Risk factors associated with incidence and persistence of signs and symptoms of temporomandibular disorders. Acta Odontol Scand. 2010;68:289–299. https://doi.org/10.3109/00016357.2010.494621 DOI: https://doi.org/10.3109/00016357.2010.494621
Slade GD, Ohrbach R, Greenspan JD, et al. Painful temporomandibular disorder: decade of discovery from OPPERA studies. J Dent Res. 2016;95:1084–1092. https://doi.org/10.1177/0022034516653743 DOI: https://doi.org/10.1177/0022034516653743
Paduano S, Bucci R, Rongo R, Silva R, Michelotti A. Prevalence of temporomandibular disorders and oral parafunctions in adolescents from public schools in Southern Italy. J Oral Rehabil. 2023;50:99–112.
Restrepo C, Ortiz AM, Henao AC, Manrique R. Association between psychological factors and temporomandibular disorders in adolescents of rural and urban zones. BMC Oral Health 2021;21:140. https://doi.org/10.1186/s12903-021-01485-4 DOI: https://doi.org/10.1186/s12903-021-01485-4
Mélou C, Sixou J L, Sinquin C, Chauvel-Lebret D. Temporomandibular disorders in children and adolescents: a review. Archives de Pédiatrie. 2023;30:335–342. https://doi.org/10.1016/j.arcped.2023.03.005 DOI: https://doi.org/10.1016/j.arcped.2023.03.005
Storm Mienna C, Wänman A. Self-reported impact on daily life activities related to temporomandibular disorders, headaches, and neck-shoulder pain among women in a Sami population living in Northern Sweden. J Orofac Pain. 2012;26:215–224.
Dahlström L, Carlsson GE. Temporomandibular disorders and oral health-related quality of life. A systematic review. Acta Odontol Scand. 2010;68:80–85. https://doi.org/10.3109/00016350903431118 DOI: https://doi.org/10.3109/00016350903431118
Wieckiewicz M, Jenca Jr A, Seweryn P, Orzeszek S, Petrasova A, Grychowska N, et al. Determination of pain intensity, pain-related disability, anxiety, depression, and perceived stress in Polish adults with temporomandibular disorders: a prospective cohort study. Front Integr Neurosci. 2022:16:1026781. https://doi.org/10.3389/fnint.2022.1026781 DOI: https://doi.org/10.3389/fnint.2022.1026781
Nilsson I-M, List T, Willman A. Adolescents with temporomandibular disorder pain-the living with TMD pain phenomenon. J Orofac Pain. 2011;25:107–116.
Al-Khotani A, Naimi-Akbar A, Gjelset M, Albadawi E, Bello L, Hedenberg-Magnusson B, et al. The associations between psychosocial aspects and TMD-pain related aspects in children and adolescents. J Headache Pain. 2016;17:30. https://doi.org/10.1186/s10194-016-0622-0 DOI: https://doi.org/10.1186/s10194-016-0622-0
Karibe H, Shimazu K, Okamoto A, Kawakami T, Kato Y, Warita-Naoi S. Prevalence and association of self-reported anxiety, pain, and oral parafunctional habits with temporomandibular disorders in Japanese children and adolescents: a cross-sectional survey. BMC Oral Health. 2015;15:8–12. https://doi.org/10.1186/1472-6831-15-8 DOI: https://doi.org/10.1186/1472-6831-15-8
do Vale Braido GV, Campi BL, Jordani PC, Fernandes G, de Godoi GonCalves DA. Temporomandibular disorder, body pain and systemic diseases: assessing their associations in adolescents. J Appl Oral Sci. 2020;28:e20190608. https://doi.org/10.1590/1678-7757-2019-0608 DOI: https://doi.org/10.1590/1678-7757-2019-0608
Mahindru A, Patil P, Agrawal V. Role of physical activity on mental health and well-being: a review. Cureus. 2023;15(1):e33475. https://doi.org/10.7759/cureus.33475 DOI: https://doi.org/10.7759/cureus.33475
Bidonde J, Busch AJ, Schachter CL, et al. Mixed exercise training for adults with fibromyalgia. Cochrane Database Syst Rev. 2019;5:CD013340. https://doi.org/10.1002/14651858.CD013340. https://doi.org/10.1002/14651858.CD013340 DOI: https://doi.org/10.1002/14651858.CD013340
Al-Jundi MA, John MT, Setz JM, Szentpétery A, Kuss O. Meta-analysis of treatment need for temporomandibular disorders in adult non-patients. J Orofac Pain. 2008;22:97–107.
Saghafi E, Mejersjö C. A method for preventive intervention regarding temporomandibular pain and dysfunction. Acta Odontol Scand. 2018;76:482–487. https://doi.org/10.1080/00016357.2018.1439529 DOI: https://doi.org/10.1080/00016357.2018.1439529
Hagquist, C. Psychometric properties of the PsychoSomatic problems scale: a Rasch analysis on adolescent data. Soc Indicat Res. 2008;86:511–523. https://doi.org/10.1007/s11205-007-9186-3 DOI: https://doi.org/10.1007/s11205-007-9186-3
Lövgren A, Visscher CM, Häggman-Henrikson B, Lobbezoo F, Marklund S, Wänman A. Validity of three screening questions (3Q/TMD) in relation to the DC/TMD. J Oral Rehabil. 2016;43:729–736. https://doi.org/10.1111/joor.12428 DOI: https://doi.org/10.1111/joor.12428
Kroenke K, Spitzer RL, Williams JB, Löwe B. An ultra-brief screening scale for anxiety and depression: the PHQ-4. Psychosomatics. 2009;50:613–621. https://doi.org/10.1016/S0033-3182(09)70864-3 DOI: https://doi.org/10.1016/S0033-3182(09)70864-3
Dos Santos EA, Risuenho Peinado BR, Frazão DR, de Sousa Né YG, Fernandes Fagundes NC, Mogno MB, et al. Association between temporomandibular disorders and anxiety: a systematic review. Front Psychiatry. 2022;13:990430. https://doi.org/10.3389/fpsyt.2022.990430 DOI: https://doi.org/10.3389/fpsyt.2022.990430
John MT, Omara M, Su N, List T, Sekulic S, Häggman-Henriksson B, et al. Recommendations for use and scoring of Oral Health Impact Profile versions. J Evid Based Dent Pract. 2022;22:101619. https://doi.org/10.1016/j.jebdp.2021.101619 DOI: https://doi.org/10.1016/j.jebdp.2021.101619
Branco, L Santis T, Alfaya T, Godoy C, Fragoso Y, Bussadori S. Association between headache and temporomandibular joint disorders in children and adolescents. J Oral Sci. 2013;55:39–43. https://doi.org/10.2334/josnusd.55.39 DOI: https://doi.org/10.2334/josnusd.55.39
Szperka C. Headache in children and adolescents. Continuum (Minneap Minn). 2021;27:703–731. https://doi.org/10.1212/CON.0000000000000993 DOI: https://doi.org/10.1212/CON.0000000000000993
Cho H-J, Park SE, Park JW. Physical activity level and temporomandibular disorders in South Koreans. Community Dent Oral Epidemiol. 2020;48:225–231. https://doi.org/10.1111/cdoe.12519 DOI: https://doi.org/10.1111/cdoe.12519
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Copyright (c) 2024 Christina Mejersjö, Eva-Karin Bergström, Curt Hagquist, Anders Wänman
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Acta Odontologica Scandinavica publishes original research papers as well as critical reviews relevant to the diagnosis, epidemiology, health service, prevention, aetiology, pathogenesis, pathology, physiology, microbiology, development and treatment of diseases affecting tissues of the oral cavity and associated structures including papers on cause and effect or explanatory/associative relationships for experimental or observational studies.
